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Please provide all information requested; an incomplete application may delay approval <br /> ❑ FACILITY INFORMATION — <br /> Name of Facility: Michael's Pizza <br /> Street Address: 2300 West Alpine <br /> City: Stockton Zip Code: 95204 <br /> ME OF FACILI <br /> OWNER INFORMATION <br /> Business Owner Name: Gina Calder <br /> Home Address: <br /> Mailing Address: 2300 W. Alpine, Stockton, CA 95204 <br /> Telephone Number: 209-481-5811 <br /> Property Owner Name: Gina Calder <br /> Home Address: <br /> Mailing Address: 2300 W. Alpine, Stockton, CA 95204 <br /> Telephone Number: 209-481-5811 <br /> ❑ CONTRACTOR INFORMATION <br /> Name of General Contractor: Darin Shelton <br /> Mailing Address: 9865 Lower Sacramento Road, Stockton CA 95210 <br /> Telephone Number: 209-957-6564 <br /> Contact Person on Site:Darin Shelton <br /> Site Phone Number: 209-957-6564 <br /> Source of Facility Water Supply: Cal Water <br /> Backflow Protection: yes-see plumbing plans <br /> System to be used for Liquid Waste Disposal (Sewage): Pacific Gardens Sanitary District <br /> Solid Waste Disposal to be provided: Republic Services <br /> Grease Interceptor: existing <br /> List foods to be served and/or provide menu: <br /> Anticipated Business Hours: Open: Close: <br /> Anticipated Number of Employees: <br /> EHD 16-01 4 PLAN CHECK GUIDE <br /> 7/5/17 <br />